Suicide Prevention: Current Status
Abstract
According to the WHO, around 8 lakhs people die of suicide every year and up to 25 times as many make a suicide attempt. Attempted suicide is self-injury with the desire to end one’s life that does not culminate in death. According to the Section 309 of Indian Penal Code (IPC), suicide attempt was considered as an offence. It might have been implemented to act as a deterrent to prevent suicidal attempts. However, suicide attempts occur in the background of severe mental stress. According to a previous study, 93% of suicide attempters were found to be mentally unwell at the time of commission of suicide attempt. Therefore, it is necessary to decriminalize suicide. Universal attempt to decriminalize suicide has been made. In India, Sec 309 IPC has remained untouched and not amended for the past 155 years, thus warranting a relook and repeal. The Delhi High Court first condemned Sec 309 IPC as “anachronism unworthy of society†(1985). Supreme Court in 1994 called it “irrational and cruel and hence void†which was then overruled by a panel of judges.
References
Sneha V, Shivappa M, Rudra Prashanth N et al. Decriminalization of suicide as per Section 115 of
Mental Health Care Act 2017. Indian Journal of Psychiatry 2018: 60: 147-148.
Nordentoft M, Mortensen PB, Pedersen CB. Absolute risk of suicide after first hospital contact in mental
disorder. Arch Gen Psychiatry 2011; 68: 1058-1064.
Bolton J, Gunell DJ, Turek G. Suicide risk assessment and intervention in people with mental illness. British
J Psychiatry 2015; 351: h4978.
Pan YJ, Chang WH, Lee MB et al. Effectiveness if nationwide aftercare program for suicide attempters.
Psychological Medicine 2013; 43: 1447-1454.
Erlangsen A, Lind B, Stuart EA et al. Short- and long-term effects of psychosocial therapy provided to persons
after suicide attempt: a register based, nationwide multicentre study using propensity score matching.
Lancet Psychiatry 2014; 2: 47-58.
Zalsman G, Hawton K, Wasserman D et al. Suicide prevention strategies revisited 10-years systematic
review. Lancet Psychiatry 2016; 3(7): 646-659.